Provider Demographics
NPI:1306577473
Name:INMAN, SHARAE ANN (PA-C)
Entity type:Individual
Prefix:
First Name:SHARAE
Middle Name:ANN
Last Name:INMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:2109 QUAIL RUN DR
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76208-5347
Mailing Address - Country:US
Mailing Address - Phone:940-595-5052
Mailing Address - Fax:
Practice Address - Street 1:30 N GOULD ST STE 52139
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-6317
Practice Address - Country:US
Practice Address - Phone:307-225-6993
Practice Address - Fax:307-200-8473
Is Sole Proprietor?:No
Enumeration Date:2022-06-21
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WYPA1261363AM0700X
NE2791363AM0700X
SC5692363AM0700X
NC10-14831363AM0700X
ND0943363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical